Active NPI
Kyu J Hwang MD PC
- Gynecology Physician
- Port Huron, MI
National Provider Identifier
1497918874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 4301031262
- Legal business name
- KYU J HWANG MD PC
- Practice address
- 2425 Military St
Suite 5
Port Huron, MI 48060-6692 - Phone
- (810) 984-1535
- Fax
- (810) 984-8320
- NPI assigned
- Jul 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kyu J Hwang, MD
- Title
- Owner
- Phone
- (810) 984-1535
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 4301031262 | MI | Primary |
Addresses
Primary practice location
2425 Military St
Suite 5
Port Huron, MI 48060-6692
Mailing address
2425 Military St
Suite 5
Port Huron, MI 48060-6692
Phone (810) 984-1535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101063088 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
2425 Military St
Ste 5
Port Huron, MI 48060
Phone (810) 984-1535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411430400000",
"number": "1497918874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 MILITARY ST",
"address_2": "SUITE 5",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480606692",
"telephone_number": "810-984-1535",
"fax_number": "810-984-8320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 MILITARY ST",
"address_2": "SUITE 5",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480606692",
"telephone_number": "810-984-1535",
"fax_number": "810-984-8320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KYU J HWANG MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-07",
"last_updated": "2014-09-23",
"status": "A",
"authorized_official_last_name": "HWANG",
"authorized_official_first_name": "KYU",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "810-984-1535",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MI",
"license": "4301031262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101063088",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.